Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) cost in New Jersey

HC Destruction by Neurolytic Agent W/Imaging Guidance Lumbar/Sacral Additional Bl · CPT 64636

Hospital City Cash price Negotiated range Payers
JFK Johnson Rehabilitation Institute (JRI) Edison not published $122.43 – $215.18 2
Ocean University Medical Center Brick not published $119.04 – $119.04 1
Hackensack University Medical Center Hackensack not published $122.43 – $122.43 1
Bayshore Medical Center Holmdel not published not published 0
Southern Ocean Medical Center Manahawkin not published $119.04 – $119.04 1
Riverview Medical Center Red Bank not published $119.04 – $119.04 1
Raritan Bay Medical Center Perth Amboy not published $122.43 – $1,456.08 3
Palisades Medical Center North Bergen not published $122.43 – $211.95 2
Jersey Shore University Medical Center Neptune City not published $119.04 – $119.04 1